Individual
KIMBERLY EISENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, AGACNP-BC
Contact information
Practice address
4450 UNION ST # 201, JOHNSTOWN, CO 80534-2864
(970) 400-0318
(970) 400-0318
Mailing address
4450 UNION ST # 201, JOHNSTOWN, CO 80534-2864
(970) 400-0318
(970) 900-8714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0993456-NP
CO
Other
Enumeration date
08/25/2017
Last updated
08/10/2026
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